Chapter 2958

And before that, you performed pericardiocentesis. All signs were similar to the common pericardial tamponade, so I think you performed this puncture based on your judgment of the patient's condition.

"Pressure changes causing minor left ventricular injury aren't that important." Zheng Ren said, "It's just bad luck to encounter this rare situation. Lang Zhu ren, don't be too depressed."

Zheng Ren repeatedly comforted him.

Lang Zhu ren's mood was low, no need to look; it seemed as if black aura surrounded him, with black lines all over his forehead.

"All your follow-up treatment measures are based on experience, which in my view is correct." Zheng Ren said, "If you encounter this situation during surgery, I believe the vast majority would choose pericardiocentesis and putting on an IABP."

"Hmm." Lang Zhu ren nodded, he didn't really care about Zheng Lao Ban's words, his thoughts were somewhat wandering.

"Zheng Lao Ban, to what extent can the patient's heart function recover after surgery?" Director Zhang asked.

"Extensive anterior wall myocardial infarction, we'll see slowly, need long-term observation." Zheng Ren said vaguely.

"Boss, Director Zhang is asking whether the chest can be closed in five days, and whether discharge can happen after another week." Su Yun said, taking off sterile gloves and walking over.

"Should be fine." Zheng Ren said, "Once myocardial edema subsides, the chest can be closed; as long as there are no complications of chest tightness and chest pain, discharge is fine."

"Lang Zhu ren, don't worry."

"I'm not worried, Zheng Lao Ban, Director Zhang." Lang Zhu ren bowed slightly, gave a polite salute, and said, "Thank you for your trouble, everyone."

Next came the trivial talk; Zheng Ren also couldn't be bothered to speak. It was already work time, he prepared to change clothes, then go handover, do rounds, and perform surgery. Most importantly, he still needed to continue simulating surgery!

Besides that, after learning the operation, the task will reward 500 experience points, almost reaching 40% of his current energy value, which is a huge enhancement.

"Alright then, I'll go change clothes first." Zheng Ren said.

"Okay, Zheng Lao Ban." Lang Zhu ren said, "I'll go check on the patient's family."

"Lang Zhu ren, the new patient's family is quite agitated; maybe I should call security first." Director Zhang said.

Lang Zhu ren shook his head, sighed, and said, "It's fine."

"Just now the patient's family almost came to blows; don't be careless." Seeing Lang Zhu ren's odd state, Director Zhang comforted: "Lang Zhu ren, Zheng Lao Ban already explained the patient's condition; don't be discouraged, it will get better."

"Hmm." Lang Zhu ren's expression was weary; he forced himself up, giving Director Zhang a faint smile.

Zheng Ren was about to walk through the operating room corridor upstairs to change clothes; hearing Lang Zhu ren say that, his heart stirred and he stopped.

If the patient leaves well, the family's anger might be a little less. As long as the person is alive, spending a little less money, nothing is unsolvable.

But the patient adopted delayed chest closure, which is a big problem. Although the family can't see the large opening of delayed chest closure, nor directly see the heart. For ordinary people, this situation is absolutely hard to accept.

Even so, after surgery the patient was sent to ICU with tubes inserted, life or death unknown; likely the emotional fluctuations would be extremely intense.

Moreover, just now I saw signs of the patient's family emotions about to explode; Lang Zhu ren's small frame, don't let anyone beat him up.

"Lang Zhu ren, why are you so down?" Su Yun asked, "Someone at home doesn't understand; this isn't the first time, and it definitely won't be the last. Looking at you like an old doctor, how can you not even weather a tiny ripple?"

Although Su Yun's words were a bit sharp, they were also true.

Medical staff engaged in healthcare, especially doctors, as clinical work time lengthens, responsibility grows greater; it's impossible to have no incidents.

Even if one's mind is as meticulous as a needle tip, preventing all known risks, the unknown will always outweigh the known.

The more senior the director, the more they have a set of methods for resolving disputes; otherwise they'd have resigned long ago and couldn't possibly make it to their fifties or sixties.

Some people adopt the approach of moving others with emotion; from the patient's admission onward, they interact like family. Even if something goes wrong, or there is a medical mistake, the patient and family will think he has done his best.

Such doctors are the most awesome, preventing trouble before it happens. But the downside is that generally such people's technical skill is only average, after all communication consumes a lot of time.

Furthermore… various ways to solve problems; if really impossible, just give in and let the Medical Department resolve the dispute. Even if finally scolded with bloody insults, things will eventually pass.

Lang Zhu ren looks over fifty, should be an experienced senior doctor, yet his psychological resilience is so poor.

Zheng Ren stopped, looking at Lang Zhu ren's somewhat red System Panel, he lightly sighed and said, "Lang Zhu ren, are you preparing to quit?"

"……" Su Yun and Director Zhang were both stunned.

Quit? The matter isn't already resolved? Even if delayed chest closure, as long as the patient is fine and discharged well, there's still room for maneuver, right?

Lang Zhu ren nodded somewhat blankly; he didn't know how this little Zheng Lao Ban knew what he was thinking.

"When I glanced at you changing in the Gengyishi, I saw your skin condition is quite serious." Zheng Ren said, "Our 912 dermatology department is not bad; both Chinese and Western medicine can treat it, although I don't know if it will be cured, but we should try."

"Radiation dermatitis?" Su Yun asked, "That wouldn't be a reason to quit, would it?"

Zheng Ren patted Lang Zhu ren's shoulder, smiled, and said, "It's fine."

"Alas, Zheng Lao Ban, Professor Su, Director Zhang, I won't hide it from you." Lang Zhu ren said, "I plan to resign after this; a hospital in the south has invited me to do outpatient work."

Zheng Ren sighed, wondering if he should advise; seems unnecessary.

How to choose between outpatient and surgery; everyone has a scale in mind. Assuming income is comparable, outpatient definitely beats wearing lead clothing and doing wire surgery by a lot.

It seems Lang Zhu ren has been agonizing over this for a while; today, inexplicably, the patient with pericardial tamponade and the noisy family became the final straw on his back, directly crushing his mindset.

"I really can't go on." Lang Zhu ren said with a bitter smile, "Back home I was among the first doctors able to perform interventional surgery; I originally thought I could sit in the operating room watching surgery by fifty, but who would have thought a hand would be poached by the south. I'm fifty-two, and today I still did over ten surgeries."

"Wearing lead clothing and standing until now, I really can't hold on." Lang Zhu ren's voice sounded desolate, like the cold wind outside the window weary of snowflakes.